Merrill Lee Stass-Isern, MD
Ophthalmology in Palm Coast, FL. Individual provider (NPI-1).
NPI number1346351368
StatusActive
Last updated in NPPESApr 20, 2021
Details
- NPI
- 1346351368
- Entity type
- Individual (NPI-1)
- Name
- Merrill Lee Stass-Isern
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Certification date
- Apr 20, 2021
- Last updated
- Apr 20, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | ME102930 | FL | Yes |
| 207W00000X | Ophthalmology | R8966 | MO |
Practice location
10 S Waterview DrPalm Coast, FL 32137-1626
Phone 913-244-7100 · Fax 386-447-9568
Mailing address
10 S Waterview DrPalm Coast, FL 32137-1626
Phone 913-244-7100 · Fax 386-447-9568
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